Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UPPER CUMBERLAND OTOLARYNGOLOGY CLINIC, PC

NPI: 1598821464 · COOKEVILLE, TN 38501 · Specialist · NPI assigned 12/28/2006

$1.83M
Total Medicaid Paid
50,389
Total Claims
46,529
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, CINDY (BUSINESS MANAGER)
NPI Enumeration Date12/28/2006

Related Entities

Other providers sharing the same authorized official: SMITH, CINDY

ProviderCityStateTotal Paid
AFFILIATED COMMUNITY MEDICAL CENTERS, LTD WILLMAR MN $4.64M
THE COOKEVILLE SURGERY CENTER COOKEVILLE TN $1.62M
CHARLES G KISSEL DPM PC WARREN MI $1.25M
ROCHESTER SCHOOL DISTRICT ROCHESTER WA $158K
FOOT AND ANKLE SPECIALISTS OF MICHIGAN PLLC BERKLEY MI $131K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,108 $259K
2019 8,149 $310K
2020 6,157 $192K
2021 6,626 $195K
2022 7,216 $253K
2023 8,303 $354K
2024 6,830 $268K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,748 13,477 $450K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,897 1,549 $258K
99243 3,182 3,083 $243K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,995 3,681 $190K
92588 3,845 3,647 $169K
92567 14,803 13,842 $167K
92557 4,248 3,909 $89K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,146 1,051 $86K
42820 Tonsillectomy and adenoidectomy; younger than age 12 392 339 $73K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,114 1,020 $54K
99244 Office or other outpatient consultation, moderate to high complexity 316 311 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 359 331 $8K
31575 82 65 $3K
31231 68 51 $2K
69210 97 84 $1K
92555 97 89 $1K